Individual provider · Type 1 NPI
Shou Wang
Psychiatric/Mental Health Nurse Practitioner · Redlands, CA
NPI number
1679071153
Active
Practice location
26001 Redlands Blvd
Redlands, CA 92373-7762
Mailing address
6545 Groves Ct
Chino, CA 91710-7384
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP95007812 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1679071153
Shou Wang's National Provider Identifier is 1679071153, issued on Jan 30, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Redlands, CA. The record was last updated on Dec 12, 2019.